IRENE RATHJEN (NPI# 1447629464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447629464 |
| Entity Type | Individual |
| Full Name | IRENE RATHJEN |
| Credential | C-PNP |
| Practice Address |
12348 Old Tesson Rd Ste 160 Saint Louis MO 63128-2251 |
| Practice Telephone | 3144673800 |
| Mailing Telephone | 3144673800 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2015016091 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12348 OLD TESSON RD STE 160 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251929 | Mercy Health Services, LLC | Pharmacy | 12348 Old Tesson Rd, Suite 100, Saint Louis, MO 63128-2215 | 2005-11-03 |
| 1831432814 | Jennifer Lynn Tietjen | Nurse Practitioner | 12348 Old Tesson Rd, St 160, Saint Louis, MO 63128-2251 | 2013-03-28 |
| 1891049979 | Regeneration Orthopedics, LLC | Anesthesiology | 12348 Old Tesson Rd, Ste120, Saint Louis, MO 63128-2251 | 2012-10-29 |
| 1831489566 | Jennifer Marshall Chung | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2011-04-14 |
| 1578867164 | Emily Joy Riley | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2010-12-22 |
| 1700067352 | Ann M Schulte | Nurse Practitioner | 12348 Old Tesson Rd, Suite 160, Saint Louis, MO 63128-2251 | 2007-11-23 |
| 1851588800 | Michael Pineda Gerardo | Internal Medicine | 12348 Old Tesson Rd, Suite 250, Saint Louis, MO 63128-2251 | 2007-10-03 |
| 1699898312 | Amy Susan Beck | Internal Medicine | 12348 Old Tesson Rd, Suite 240, Saint Louis, MO 63128-2251 | 2007-04-09 |
| 1053403915 | Carl Peters | Family Medicine | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2251 | 2006-09-29 |
| 1497854533 | Smith Surgical Services, LLC | Surgery | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2215 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1396117636 | Erika Kircher | Nurse Practitioner | 518 Gray Ave, Saint Louis, MO 63119-3742 | 2015-10-27 |
| 1780007963 | Michelle Marie Dupont | Nurse Practitioner | 1465 South Grand Boulevard, Saint Louis, MO 63104 | 2014-01-24 |
| 1083924468 | Carrie Anne Thrasher | Nurse Practitioner | 3915 Watson Rd Ste 202, Saint Louis, MO 63109-1251 | 2010-10-19 |
| 1265768576 | Cheryl L Grave | Nurse Practitioner | 607 S New Ballas Rd Ste 2415, Saint Louis, MO 63141-8234 | 2009-10-20 |
| 1467639781 | Dana Joann Aronin | Nurse Practitioner | 77 Progress Parkway, Biomedical Systems, Saint Louis, MO 63110-1002 | 2008-01-29 |
| 1265643282 | Dawn Lee Garzon | Nurse Practitioner | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2007-05-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on IRENE RATHJEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.